Hi April. I had Cigna while I was trying to get approved. I called them and they told me all I needed was one 12 week supervised diet within the last year. When my doctor sent the form to get authorized, they told him that I needed TWO 26 week dr. supervised diets within the last year. Then they told me the hospital was not on my plan. I could have wrung their necks. Well, that insurance ran out before I could get my surgery, and my new insurance won't even touch WLS, so I paid for it myself. Good luck, and don't stop trying.